The holder whose full name is KENWARD, CHARLES LAWRENCE,come from SAN ANTONIO TX,hold the Dentist license(NO.12005224A) which status is Expired.
| Name | KENWARD, CHARLES LAWRENCE |
|---|---|
| License Number | 12005224A |
| License Type | Dentist |
| License Status | Expired |
| City | SAN ANTONIO |
| State | TX |